MR. OWEN MICHAEL CAMARCO (NPI# 1639549157) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639549157 |
| Entity Type | Individual |
| Full Name | MR. OWEN MICHAEL CAMARCO |
| Practice Address |
13847 E 14th St San Leandro CA 94578 |
| Mailing Address |
13847 E 14th St San Leandro CA 94578-2632 |
| Practice Telephone | 5109247667 |
| Mailing Telephone | 5109247667 |
| Enumeration Date | 2015-09-26 |
| Last Update Date | 2018-07-31 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 1639549157 | 05 |
| Street Address |
13847 E 14TH ST |
| City | SAN LEANDRO |
| State | CA |
| Zip Code | 94578 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952307720 | Ravinder K Arora | Internal Medicine | 13847 E 14th St, Suite 217, San Leandro, CA 94578-2632 | 2005-06-24 |
| 1881218923 | Curtis Eugene Penn | Counselor | 13847 E 14th St, San Leandro, CA 94578-2632 | 2020-06-04 |
| 1962024885 | Robyn Miller | Counselor | 13847 E 14th St, San Leandro, CA 94578-2632 | 2020-05-13 |
| 1700359668 | Shireen Farsi | Counselor | 13847 E 14th St, San Leandro, CA 94578-2632 | 2019-01-03 |
| 1366812190 | Lawrence Lyons | Counselor | 13847 E 14th St, San Leandro, CA 94578-2632 | 2015-10-06 |
| 1376961664 | Asian Community Mental Health Board | Community/Behavioral Health | 13847 E 14th St, Suite 116, San Leandro, CA 94578-2632 | 2014-04-03 |
| 1518203728 | Nehal Ghevariya | Internal Medicine | 13847 E 14th St, Ste 115, San Leandro, CA 94578-2632 | 2012-12-14 |
| 1831465814 | Arkady Oreper, Md, A Professional Corporation | Psychiatry & Neurology | 13847 E 14th St, 204, San Leandro, CA 94578-2632 | 2012-03-24 |
| 1841579323 | Fortani Medical Corp. | Family Medicine | 13847 E 14th St, Suite 216, San Leandro, CA 94578-2632 | 2011-08-15 |
| 1801197280 | Bryant Surgical Group PC | Surgery | 13847 E 14th St, Suite #110, San Leandro, CA 94578-2632 | 2010-11-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952886327 | Keyla Itzel Monroy Rodriguez | Behavioral Analyst | 900 143rd Ave, Apt 269, San Leandro, CA 94578 | 2018-10-01 |
| 1962938340 | Shaylah Rigmaiden | Counselor | 3847 E14th St, #215, San Leandro, CA 94578 | 2017-05-04 |
| 1861864449 | Laurence Tang | Pharmacist | 13847 E. 14th Street, San Leandro, CA 94578 | 2015-10-22 |
| 1902227481 | Marissa Phan | Pharmacist | 15555 E. 14th Street #400, San Leandro, CA 94578 | 2013-12-30 |
| 1629403993 | Carly Renee Lucas | Counselor | 2257 Arlington Dr., San Leandro, CA 94578 | 2013-09-05 |
| 1871933317 | Javier Huerta | Counselor | 16335 E. 14th St, San Leandro, CA 94578 | 2013-06-28 |
| 1710231717 | Farida M Ismail | Non-emergency Medical Transport (VAN) | 1601 165th Ave, 107, San Leandro, CA 94578 | 2012-10-30 |
| 1487901989 | Amanda Dupuis | Counselor | 15942 Footlhill Blvd, San Leandro, CA 94578 | 2012-08-14 |
| 1629323506 | Mei Xiu Chua | Counselor | 13666 East 14th Street, San Leandro, CA 94578 | 2012-07-17 |
| 1730445644 | Nisreen Mesiwala Kothari | Ophthalmology | 15051 Hesperian Blvd Ste A, San Leandro, CA 94578 | 2012-04-04 |
| Find all providers in zip 94578 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346886678 | Theresa Marie Isidro | Counselor | 500 Davis St Ste 100, San Leandro, CA 94577-2758 | 2019-11-21 |
| 1407367311 | Phil Nastri | Counselor | 14740 Martell Ave Apt E, San Leandro, CA 94578-4447 | 2017-10-18 |
| 1801311774 | Calvin Walker | Counselor | 3801 Teagarden Street, San Leandro, CA 94577 | 2017-08-11 |
| 1366825499 | Meghan Mchugh | Counselor | 525 Estudillo Ave, San Leandro, CA 94577-4684 | 2015-07-07 |
| 1629403993 | Carly Renee Lucas | Counselor | 2257 Arlington Dr., San Leandro, CA 94578 | 2013-09-05 |
| 1871933317 | Javier Huerta | Counselor | 16335 E. 14th St, San Leandro, CA 94578 | 2013-06-28 |
| 1487999157 | Vanessa Vargas Hernandez | Counselor | 140 Belleview Dr, 3, San Leandro, CA 94577-1756 | 2012-12-06 |
| 1487901989 | Amanda Dupuis | Counselor | 15942 Footlhill Blvd, San Leandro, CA 94578 | 2012-08-14 |
| 1295020238 | Chatani Iman Miller | Counselor | 511 Estudillo Ave., Stars Community Services Tay Program, San Leandro, CA 94577 | 2011-06-17 |
| 1780991604 | Herbert Dominique Smyer II | Counselor | 2233 Fairway Dr Apt 1, San Leandro, CA 94577-5451 | 2010-09-13 |
| Find all providers in SAN LEANDRO | ||||
| City | SAN LEANDRO |
| Zip Code | 94578 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.